Over-the-counter drug · OTC MONOGRAPH DRUG

citroma (Magnesium citrate) NDC 0869-0164

Magnesium citrate 1.745 g/29.6mL · Liquid · Oral · Vi-Jon, LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)0869-0164Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00869-0164Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0869-0164-3800869016438296 mL in 1 BOTTLE, PLASTIC (0869-0164-38)Marketed from Feb 18, 2018

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
citroma
Generic name (nonproprietary)
magnesium citrate
Active ingredients
Magnesium citrate — 1.745 g/29.6mL
Dosage form
Liquid
Route
Oral
Labeler
Vi-Jon, LLCNDC labeler code 0869
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 0869-0164_5b867398-3100-f711-e063-6294a90a1a20SPL ID 5b867398-3100-f711-e063-6294a90a1a20
Pharmacologic class
Calculi Dissolution Agent; Osmotic Laxative

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400869016438 followed by a unit qualifier and the quantity

Package 00869-0164-38. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0869-0164

What is NDC 0869-0164?
0869-0164 is the product NDC for citroma (magnesium citrate), Magnesium citrate 1.745 g/29.6mL liquid, listed with the FDA by Vi-Jon, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
citroma (Magnesium Citrate).
What is the active ingredient?
Magnesium citrate.
Who is the labeler?
Vi-Jon, LLC, NDC labeler code 0869. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for citroma?
31 other product NDCs are listed under this name. See all citroma NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other citroma NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association83324-16983324-0169-10
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16283986-0162-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16483986-0164-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralUpLift Brands, LLC83986-16683986-0166-38
Citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralNice-Pak Products, LLC11344-16211344-0162-38
citromamagesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralValu Merchandisers Company63941-51663941-0516-38
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralValu Merchandisers Company63941-53363941-0533-38
citromamagesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralRite Aid Corporation11822-433011822-4330-02
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association63868-92963868-0929-38
citromamagnesium citrateMagnesium citrate 1.745 g/29.6mLLiquidOralChain Drug Marketing Association63868-01863868-0018-38

All 32 citroma NDCs

Other NDCs under M 007

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 007
ProductStrengthForm · routeLabelerProduct NDC
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralUnited Natural Foods, Inc. dba UNFI41163-241
Milk Of Magnesiamagnesium hydroxideMagnesium hydroxide 1200 mg/15mLLiquidOralDOLGENCORP, INC.55910-649
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralReliable 1 Laboratories LLC69618-086
Magnesium CitrateMagnesium citrate 1.745 g/29.6mLLiquidOralThe Kroger Co.30142-899
Magnesium CitrateMagnesium citrate 1.745 g/29.6mLSolutionOralPublix Super Markets, Inc.56062-264
Careonepsyllium huskPsyllium husk .52 g/1CapsuleOralFOODHOLD USA41520-907
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralA-S Medication Solutions50090-7167
Sennosides, Docusate SodiumDocusate sodium 50 mg/1; Sennosides 8.6 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0195
Magnesium CitrateMagnesium citrate 1.745 g/29.6mLSolutionOralPublix Super Markets, Inc.56062-266
Mineral oilMineral oil 100 mg/100mLOilOralP & L Development, LLC49580-0334
Purifi Hand Sanitizerbenzalkonium chlorideBenzalkonium chloride .13 g/100mLSolutionTopicalPurifi LLC80659-301
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0091
CareOne Milk of Magnesia Cherrymagnesium hydroxideMagnesium hydroxide 1200 mg/15mLLiquidOralRetail Business Services, LLC.72476-665
Stool Softener Laxative Extra Strengthdocusate sodiumDocusate sodium 250 mg/1Capsule, Liquid filledOralWALMART INC. (see also Equate)79903-073
Dulcolax Pink Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralChattem, Inc.41167-0281
Quality Choice Laxativesodium phosphate, dibasic, unspecified form and sodium phosphate, monobasic, unspecified formSodium phosphate, Dibasic, Unspecified form 7 g/118mL; Sodium phosphate, Monobasic, Unspecified form 19 g/118mLEnemaRectalChain Drug Marketing Association83324-292
Magnesium CitrateMagnesium citrate 1.745 g/29.6mLLiquidOralSTRATEGIC SOURCING SERVICES70677-1112
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralBryant Ranch Prepack72162-2255
Milk of Magnesia Concentratemagnesium hydroxideMagnesium hydroxide 2400 mg/10mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-0940
up and up fiber therapy Natural Fiberpsyllium huskPsyllium husk 3.4 g/12gPowderOralTarget Corporation11673-668

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